Kell, Jennifer Tasca
Kell, Jennifer Tasca is an individual health care provider with primary practice located at 4401 Martin Luther King Blvd , Houston TX 77204-2020. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Kell, Jennifer Tasca can be contacted via phone (713) 743-2020.Contact Information
Primary practice address
4401 Martin Luther King Blvd
Houston TX 77204-2020
Phone: (713) 743-2020
Fax: (713) 743-0963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2077 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7676T | Texas |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2077 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7676 | Texas |
Profile Details
| NPI number | 1407857444 |
|---|---|
| LBN Legal business name | Kell, Jennifer Tasca |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | May 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407857444 | NPPES |
| Texas | MEDICAID | 286359901 | |
| Texas | MEDICAID | 23371846 |
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